Low dose- high frequency, case based psychomotor CPR training improves compression fraction for patients with in-hospital cardiac arrest

被引：30

作者：

Panchal, Ashish R. ^{[1
]}

Norton, Gregory ^{[1
]}

Gibbons, Emily ^{[1
]}

Buehler, Jeri ^{[1
]}

Kurz, Michael C. ^{[2
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Columbus, OH 43210 USA

[2] Univ Alabama Birmingham, Sch Med, Birmingham, AL USA

来源：

RESUSCITATION | 2020年 / 146卷

关键词：

Psychomotor training; Cardiopulmonary resuscitation; Education; Compression fraction; In-hospital cardiac arrest; CARDIOPULMONARY-RESUSCITATION; SKILL RETENTION; OUTCOMES; SURVIVAL; QUALITY; RATES; PERFORMANCE; KNOWLEDGE; NURSES; TRENDS;

D O I：

10.1016/j.resuscitation.2019.10.034

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: High quality cardiopulmonary resuscitation (CPR) is critical to improve survival from cardiac arrest. While low dose- high frequency case-based training enhances CPR skill retention, it is unclear if this training method is feasible in a clinical environment and if it yields improved clinical CPR quality during in-hospital cardiac arrest. We evaluated the implementation of a novel platform providing low dose- high frequency psychomotor CPR training and its impact upon CPR quality. Methods: The described training platform was launched on two nursing units (60 beds) in a university teaching hospital. Quarterly utilization of the platform was integrated into normal clinical duties of hospital staff. Simulated CPR performance and staff compliance were evaluated pre- and post-intervention. In addition, clinical CPR performance was evaluated for periods of six months before and after four quarters of implementation (median, IOR). Results: The low dose, high frequency CPR training led to retention of simulated CPR skills (compression rate, depth and fraction) during each quarter exceeding high-quality guideline thresholds. Clinical CPR quality, measured by compression fraction (Pre: 83% (73, 95) and Post: 93% (88, 98), p < 0.001) and rate (Pre: 109 (96, 126) and Post: 120 (108, 130), p = 0.008) increased significantly following platform implementation. Over the intervention period, program compliance was greater than 97%. Conclusions: Low dose-high frequency case based psychomotor CPR training is feasible in a clinical setting with high compliance. In two nursing units, this method of training resulted in enhanced CPR skill retention and improved in-hospital clinical CPR quality.

引用

页码：26 / 31

页数：6

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